Active NPIIndividual providerSole proprietor

Dr. Kelly F Trusheim, PSYD

Psychologist in Lynn, Massachusetts

NPI Number1700039898
Practice location
269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314
Fax
—
Last updated
September 16, 2013

Kelly F. Trusheim is a Psychologist based in Lynn, MA. Kelly F. Trusheim practices in Lynn, MA and has the professional credentials of PSYD. The NPI Number for Kelly F. Trusheim is 1700039898 and holds a License No. 9680 (MA). The current practice location address for Kelly F. Trusheim is 269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314 and can be reached out via phone at 781-691-7164.

Provider Profile Details

NPI Number
1700039898
Provider Name
Kelly F. Trusheim
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314
Phone Number
781-691-7164
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 3, 2008
Last Update Date
September 16, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Union St
Behavioral Health - Blue Team
Lynn, MA 01901-1314
City
Lynn
Zip
01901-1314
Phone Number
781-691-7164
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
269 Union St
Behavioral Health - Blue Team
Lynn, MA 01901-1314
City
Lynn
State
MA
Zip
01901-1314
Phone Number
781-691-7164

License Information

License Number (1)
9680
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
1089
License State (2)
SC
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
2912
License State (3)
CT
Taxonomy (3)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly F Trusheim, PSYD?

The NPI number of Dr. Kelly F Trusheim, PSYD is 1700039898. It was assigned on November 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly F Trusheim, PSYD?

Dr. Kelly F Trusheim, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 9680.

Where does Dr. Kelly F Trusheim, PSYD practice?

The practice location is 269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314. The office can be reached at 781-691-7164 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700039898 directly on the NPPES registry website.

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